Blythe, CA · Riverside County

No notary required

Mobile Modular Manufactured Home Application Worksheet

Blythe’s application worksheet collects property, owner, contractor, and manufactured-home details for people applying to install a manufactured home.

What this form is

This worksheet is part of Blythe’s manufactured housing guidelines and gathers information for a mobile, modular, or manufactured home installation permit. It asks for the job-site address, parcel and lot details, owner and contractor information, unit specifications, and bracing-system details, if used. The guidelines also describe installation requirements, inspections, fees, and documents to provide before permit issuance.

Who needs it

Property owners or contractors installing a manufactured home in Blythe can use this worksheet to provide details for the installation permit.

How to submit it

The guidelines direct applicants to submit required materials to the Department of Building & Safety at 235 North Broadway, Blythe, CA 92225. A check for $11 per unit, payable to the Department of Housing and Community Development, must be submitted to the office before permit issuance.

About notarization

This document itself is signed without a notary; if the title search or certificate of origin is not in the property owner's name, a notarized letter from the legal owner is required.

How to submit this form

  1. 1

    Download The Worksheet

    Download the Mobile Modular Manufactured Home Application Worksheet from this page.

  2. 2

    Complete The Worksheet

    Provide the job-site, parcel, owner, contractor, manufactured-home, and bracing-system information requested.

  3. 3

    Gather Required Documents

    Provide a unit title search or Certificate of Origin. If it is not in the property owner's name, the guidelines require a notarized letter from the legal owner.

  4. 4

    Submit Materials To The City

    Submit required materials to the Department of Building & Safety at 235 North Broadway, Blythe, CA 92225.

Frequently asked questions

What information does the manufactured home worksheet request?
It requests the job-site address, parcel and lot details, property owner and contractor information, unit specifications, and details about an earthquake-resistant bracing system, if used.
Do I need a notary for the manufactured home application?
No, the worksheet itself does not require notarization. However, the guidelines require a notarized letter from the legal owner if the title search or certificate of origin is not in the property owner's name.
How do I submit the manufactured home application?
Submit required materials to the Department of Building & Safety at 235 North Broadway, Blythe, CA 92225. The guidelines also specify an $11-per-unit check before permit issuance.

Need something notarized?

This Mobile Modular Manufactured Home Application Worksheet doesn’t need a notary — but if you have another Blythe form that does, a commissioned online notary can help.